Hearthstone Nursing And Rehabilitation
401 Oakwood Blvd, Round Rock, TX 78681 · Williamson County
Government · 120 certified beds · 78% occupancy · (512) 388-7494
The U.S. government (CMS) rates Hearthstone Nursing And Rehabilitation 2 out of 5 stars overall — below average. Its nurse staffing is 11% below the Texas median. Inspectors cited it for 5 immediate-jeopardy findings in recent inspection cycles.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.
2.92 nurse hours per resident per day. 11% below the Texas median of 3.27.
Nursing staff turnover: 53.3% · RN turnover: 28.6%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0641 · Apr 3, 2026Corrected Apr 17, 2026
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0812 · Apr 3, 2026Corrected Apr 17, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0880 · Apr 3, 2026Corrected Apr 17, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0925 · Apr 3, 2026Corrected Apr 17, 2026
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies
- Potential for harmTag F0657 · Jan 14, 2026ComplaintCorrected Jan 26, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0644 · Nov 19, 2025ComplaintCorrected Nov 26, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0646 · Nov 19, 2025ComplaintCorrected Nov 26, 2025
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Resident Assessment and Care Planning Deficiencies
- Actual harmTag F0600 · Dec 19, 2024ComplaintCorrected Dec 3, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0656 · Jan 30, 2025Corrected Feb 17, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0880 · Jan 30, 2025Corrected Feb 17, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Showing the 10 most recent and serious of 26 findings. See the full inspection history on Medicare.gov.
Ownership
Part of the Caraday Healthcare chain (9 facilities), chain average overall rating 2.8★.